NPI 1669730651

Community Healthcare Service

Organisation Custodial Care Facility Apple Valley, MN

Practice location

Address: 14249 Hayes Rd, Apple Valley, MN 55124-6738
Phone: (952) 891-8038
Fax: (952) 891-8038

Authorised official

Name: Gloria Igwilohi Agbator
Title: Manager
Phone: (612) 636-3286

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 356758 (MN)

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1669730651
Entity type: Organization
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.